2311 Can't do it
The distance from Jinling to Feng County was not too far, only a few hundred kilometers. Even if they hit the road early in the morning and there was no traffic jam on the road, it was already close to noon when director Xia arrived at the central Hospital.
Director Xia had a simple bite of his hamburger in the car. When he arrived, he took a look at the patient’s X-ray and the patient himself, surrounded by the patient’s family members.
Just as he had imagined, the patient was in the final stage of cancer and was beyond cure.
The risk of the operation failing was very high, and even if it was successful, the patient would only be able to live for about one year.
This was the main point. If the patient’s family members had delusions and tried to treat him, director Xia would turn around and leave without a second word.
The patient’s family made it clear that they only wanted the old man to get the best medical treatment they could. After that, his life and death would be up to fate, and the family knew this very well.
Since that was the case, it was time for the surgery.
Chief physician li pursed his lips when he heard that. He thought,’the best medical treatment is right in front of you, but you don’t know how to cherish it.’
However, this had nothing to do with him anymore. Boss Zheng’s TIPS surgeries had been completed, and he should be having his lunch at this time. After that, he would take the high-speed rail or plane back to the capital.
It was a pity that he had brushed past boss Zheng. Whether it was the patient or himself, this was fate.
After the patient was sent to the stage, Department Director li accompanied Department Director Xia from Jinling tumor hospital and chatted as they went on stage.
Director li was shocked when he found out that director Xia was going to perform the surgery under the endoscope.
No wonder he dared to accept this surgery. Director Xia was really capable.
He administered anesthesia, washed his hands, and put on his clothes.
However, after fiddling with the laparoscope forceps for a while, director Xia was stunned.
Chief physician li could see very clearly that the adhesion in the abdominal cavity was very serious, and it was not something that could be done through laparoscopy.
There wasn’t even a surgical field, so what was the point of doing a laparoscope? (Note)
In that case, let’s switch to open abdominal surgery. He can’t just give up on the surgery just because he can’t perform laparoscopy, right?
Director Xia did not feel embarrassed at all. The patient’s condition was right there. If he forced himself to do it, he would only be asking for trouble.
The incision in the middle of the abdomen was about 20 cm in length, and the incision was made layer by layer into the abdomen.
He checked the surface of the liver, small intestine, and pelvic cavity again, but he did not find any metastases. The gallbladder was about 8×3 cm, and the diameter of the common bile duct was about 0.6 cm. It was removed in reverse.
The surgery was carried out according to the rules. He did not see any laparoscopy, but the incision surgery proved that director Xia’s level was quite high.
Chief physician Li’s uneasiness calmed down a little.
Director Xia opened the gastronomic ligament along the edge of the colon, opened the lateral peritoneum of the duodenostomy, and lifted the duodenostomy. He found that the diameter of the swelling at the hooked part of the pancreas was four centimeters. It was hard, and the boundary was unclear. It could move in a good way.
However, as the operation went on, director Xia’s face became more and more serious.
It was one thing to look at the X-ray, but it was another thing to open it and look at it.
The difficulty of the current surgery was definitely higher than the ones he had performed before. The adhesion in the patient’s abdominal cavity was very serious, and it would be very difficult to remove it successfully for the surgery.
At this point, director Xia tried his best not to think about the failure of the surgery.
He continued to separate the head of the pancreas and the back of the duodenum to check if the inferior vena cava was not affected. He explored the root of the transverse mesentery and found no signs of fetal contractions.
However, when it was time to separate the superior mesentery vein, director Xia was dumbfounded.
He opened the posterior peritoneum at the base of the transverse mesentery and found the blood vessels along the superior mesentery vein.
Then, he skillfully separated the branch blood vessels that converged into the superior mesentery vein, hung the obstruction belt, and separated the main trunk of the superior meseny vein upward along the blood vessel.
It was visible to the naked eye that the swelling was closely related to the superior mesentery vein, and the lower fork of the superior mesentery vein was involved.
All…Involved …
Director Xia took a deep breath as he looked at the sticky tumor and the superior mesentery vein. He then prepared to start separating the tumor.
Of course, he knew in his heart that it would be too difficult to swim away from this kind of adhesion. At this moment, he was already beginning to regret that he had been so obsessed last night that he had run over to change the scalpel and take on this surgery.
This was really too F * cked up!
Director Xia carefully tested dissociative identity disorder. Subconsciously, he realized that he had made the wrong choice. A large amount of adrenaline and dopamine was secreted in his body. The parasympathetic nerves were suppressed, the sympathetic nerves were excited, and he directly entered a state of stress.
His sweat glands secreted large amounts of sweat, and the sterile cap was penetrated within the range of 2 ′ 22 “
Director Xia turned his head, but this was not his own hospital, and there was no tacit understanding at all. No one understood the intention of his every move. He felt that his move was very stupid.
“I’m wiping my sweat. ” Director Xia said helplessly.
The circulating nurse took a piece of gauze and wiped his sweat. After that, she asked in a low voice,”director Xia, shall I tie a piece of gauze on you?”
“Alright,” he said. Director Xia took this opportunity to relax her already tensed sympathetic nerves.
He recalled the tumor and the superior mesentery vein that were stuck together in the operating area, and he felt helpless.
He was really possessed. Why was he in a hurry to use little boss Zheng as an excuse? In the end, little boss Zheng escaped, but he was put on the fire rack to be roasted.
What the f * ck!
Director Xia had a good temper and rarely scolded people. However, the complicated situation made him irritable. Perhaps it was the side effect of the parasympathetic nerves being dormant and the sympathetic nerves beginning to get excited.
There was a gauze wrapped around the sterile cap on his head. Director Xia focused and continued the operation.
I hope I can do it.
He hoped that the tumor and the superior mesentery vein did not stick together as closely as he could see.
I hope …
Director Xia had too much hope.
However, after 3 minutes and 12, all hope was shattered.
The tumor was tightly attached to the superior mesentery vein, so the operation could not be carried out.
“Do you guys have a Department of Vascular Surgery?” Director Xia asked in a deep voice.
“Uh …” Director li hesitated for a moment. There was a sense of pleasure in his heart that he should not have felt.
However, if he were to suppress this emotion, the patient would not be able to get out of the situation, and he would have to take the blame as well. Although the patient’s family members asked for it, it was better not to take the blame if possible.
“Director Xia, we have a vascular surgery department, but our skills are only average.” Chief physician Li said bluntly.
Director Xia stopped the surgery and looked at the operating area helplessly. The internal organs and blood were so glaring under the shadowless lamp. His hands and feet were a little numb, and he was wondering how to explain it to the patient’s family.
The operating room was dead silent. Chief physician li peeked at the electronic timer at the side. He waited for three minutes, and when he saw that director Xia still did not say anything, he suggested in a low voice,”director Xia, little boss Zheng from the capital has not left yet. Do you want to …”
……
……
[Note 1: this surgery was referred to as a real surgery in the top tertiary Grade A hospitals in the country. Laparoscopy was converted to laparotomy.] Not all preoperative assessments could accurately determine the surgical method, and this was something that could be mentioned separately.